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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000280

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Emma MargaretO'Brien Sex Female

Date of Birth November 27, 1923 Place of Birth PictouCounty of Pictou

Name of Father Cornelius Herey O'Brien MAIDEN NAME of Mother Alice Elizabeth Dalton

Were the Parents married at the time of the Birth? Yes

Residence of Father when child was born Main Street Pictou Ns Present address of Father Deceased

Occupation of Father at Birth of child Coal Miner Place of birth of Father Spry Bay, Halifax Co., NS

Race Name and present address of Physician in attendance at birth

Signature of Applicant Olgie Joseph O' Brien Address of Applicant Unknown Date 13 September 1962

Relationship of Applicant to child Older Brother

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Emma MargaretO'Brien

Born at Pictou in the County of Pictou

That Emma MargaretO'Brien Whose Birth is sought to be registered was

born at Pictou Pictou County on November 27, 1923

My knowledge of the fact and date of such Birth is based on the following Circumstances:

1. Personal knowledge as older brother 2 Baptismal certificate on file

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